The impulse control spectrum can begin in childhood and continue on into adulthood, often morphing into criminal behaviors. Working with patients diagnosed with these disorders, the best examples of expressed emotion by the nursing staff are:

Correct Answer: A

Rationale: The correct answer is A: Low to prevent emotional reactions. When working with patients with impulse control disorders, it is crucial for nursing staff to maintain low expressed emotion levels to prevent triggering emotional reactions in the patients. High emotional expression can exacerbate the patients' symptoms and lead to escalated behaviors. Matching the patient's emotions (B) can also be risky as it may inadvertently validate or reinforce maladaptive behaviors. Being flat (C) without any emotional output can be perceived as cold and uncaring, hindering the therapeutic relationship. High expression (D) may overwhelm the patient and hinder therapeutic progress. Therefore, maintaining low emotional reactions is the most effective approach to support patients with impulse control disorders.

Correct Answer: D

Rationale: The correct answer is D: yoga. Adjunctive treatments are used alongside primary treatments to enhance outcomes. Yoga is a complementary therapy that can improve mental health by reducing stress, anxiety, and improving overall well-being. It is non-invasive and can be used in conjunction with other treatments like psychotherapy. Antipsychotic medication (A) is a primary treatment for certain mental health conditions like schizophrenia. Hospitalization (B) is a severe intervention for acute mental health crises. Psychotherapy (C) is a primary treatment involving talk therapy. Yoga (D) stands out as an adjunctive treatment due to its holistic approach and ability to support mental health alongside other therapies.

Correct Answer: B

Rationale: The correct answer is B because accessing professional databases like CINAHL ensures access to peer-reviewed research articles and studies. These databases are specifically designed to provide credible and evidence-based information for healthcare professionals. Asking a supervisor (A) may be helpful but may not guarantee access to reputable sources. Performing a Wikipedia search (C) is not recommended as it is not a reliable source for evidence-based practice. Asking a librarian (D) may be useful in guiding the nurse on how to effectively search and utilize professional databases like CINAHL, but the nurse should ultimately rely on accessing these databases directly for credible sources.

Correct Answer: D

Rationale: The correct answer is D because the phase of the nurse-client relationship involving reviewing the client's record is the orientation phase. In this phase, the nurse gathers information about the client's diagnosis, health history, and current care needs to understand the client's situation. This phase focuses on setting goals, exploring attitudes, and establishing a plan of care based on the client's needs. It is essential for the nurse to understand the client's diagnosis to provide effective care. Choice A (Getting to know each other and establishing trust) is typically associated with the initial phase of the relationship, not specifically related to reviewing records. Choice B (Implementing nursing interventions to achieve outcomes) is part of the working phase, where interventions are carried out. Choice C (Achievement of independence and maintenance of health without nursing care) is more aligned with the termination phase, where the client achieves independence.

Correct Answer: D

Rationale: The correct answer is D because making eye contact and responding if the client engages maintains professionalism and acknowledges the client's presence without compromising confidentiality. It shows respect and empathy, which are important in nursing practice. A: Inquiring about the client's well-being can breach confidentiality and may not be appropriate in a public setting. B: Ignoring the client can be seen as rude and may harm the therapeutic relationship. C: Talking to the client without using names may still breach confidentiality and does not fully acknowledge the client's presence.